Evidence map›Paper›PMID 32073401›Full record

ArticleeLife2020

Opioids depress breathing through two small brainstem sites.

Iris Bachmutsky, Xin Paul Wei, Eszter Kish, Kevin Yackle

Open access · goldAbstract read
In one paragraph

Article in eLife, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
8.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 148 citations in OpenAlex.

  1. Article
  2. Dose- and time-dependent physiological effects of fentanyl in adult goats.Journal of applied physiology (Bethesda, Md. : 1985) · 2026
    Article
  3. Article
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  11. Multimodal Breathing Control: Pontomedullary Mechanisms and Current Perspectives.BioEssays : news and reviews in molecular, cellular and developmental biology · 2025
    Review
  12. Roles of peripheral and central µAmerican journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  13. Article
  14. Review
  15. Functional modulation of retrotrapezoid neurons drives fentanyl-induced respiratory depression.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  16. Xylazine exacerbates fentanyl-induced respiratory depression and bradycardia.The Journal of pharmacology and experimental therapeutics · 2025
    Article
  17. Divergent ventilatory responses during opioid-induced respiratory depression in response to repeated fentanyl use.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  18. Endogenous opioids and the development of the mammalian respiratory control network.American journal of physiology. Lung cellular and molecular physiology · 2025
    Review
  19. CBPharmacological research · 2025
    Article
  20. Article

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Iris BachmutskyDepartment of Physiology, University of California-San Francisco, San Francisco, United States.
Xin Paul WeiDepartment of Physiology, University of California-San Francisco, San Francisco, United States.
Eszter KishDepartment of Physiology, University of California-San Francisco, San Francisco, United States.
Kevin YackleDepartment of Physiology, University of California-San Francisco, San Francisco, United States.ORCID 0000-0003-1870-2759
University of California, San Francisco · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007618 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ANDERSON, MARK S · 1985 to 2020
$29.6M
Cellular and Molecular Identification of the Breathing Pacemaker NeuronsDP5OD023116 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YACKLE, KEVIN · 2016 to 2020
$1.9M
NIGMS NIH HHS T32 GM007618NIH HHS DP5 OD023116
6 · The paper itself

Abstract

The rates of opioid overdose in the United States quadrupled between 1999 and 2017, reaching a staggering 130 deaths per day. This health epidemic demands innovative solutions that require uncovering the key brain areas and cell types mediating the cause of overdose- opioid-induced respiratory depression. Here, we identify two primary changes to murine breathing after administering opioids. These changes implicate the brainstem's breathing circuitry which we confirm by locally eliminating the µ-Opioid receptor. We find the critical brain site is the preBötzinger Complex, where the breathing rhythm originates, and use genetic tools to reveal that just 70-140 neurons in this region are responsible for its sensitivity to opioids. Future characterization of these neurons may lead to novel therapies that prevent respiratory depression while sparing analgesia.

Indexed as

Analgesics, OpioidAnimalsBrain StemHumansMicePlethysmography, Whole BodyRespirationRespiratory InsufficiencyAnalgesics, Opioidbreathingcentral pattern generatorhuman biologymedicinemouseneuroscienceopioid respiratory depressionpreBötzinger Complex

Identifiers

PMID32073401
PMCPMC7077984
OpenAlexW3008670335

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.